Provider Demographics
NPI:1972656585
Name:FLORES, GUERY (MD)
Entity Type:Individual
Prefix:DR
First Name:GUERY
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 N SAN MARCOS DE NIZA DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-9277
Mailing Address - Country:US
Mailing Address - Phone:520-458-1710
Mailing Address - Fax:
Practice Address - Street 1:75 COLONIA DE SALUD
Practice Address - Street 2:STE 200D
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2487
Practice Address - Country:US
Practice Address - Phone:520-459-1984
Practice Address - Fax:520-452-1011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWCMBFMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
AZD36844Medicare UPIN